Individual provider Active NPI

Carla Magnolia Laos, M.D.

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Houston, TX
National Provider Identifier
1134278476
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X
License
N1367 Issued in TX
Practice address
6621 Fannin St Ste a.210
Texas Children'S Hospital BCM C/O Peggy Womack
Houston, TX 77030-2303
Phone
(832) 824-5628
Fax
(832) 825-5424
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X N1367 TX Primary

Addresses

Primary practice location

6621 Fannin St Ste a.210
Texas Children'S Hospital BCM C/O Peggy Womack
Houston, TX 77030-2303

Mailing address

2020 McClendon St
Upper
Houston, TX 77030-2118
Phone (214) 926-6492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081119000157 TX Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 5991865057 Reassigns benefits to 2 organizations
I20220307001373 NV Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 5991865057 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N1367TXMDPediatric Emergency Medicine (Pediatrics) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southcentral Foundation CurrentSince Feb 5, 2026 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Feb 5, 2026 Accepting new patients
Pokroy Medical Group of Nevada, LTD. CurrentSince Jan 6, 2022 Accepting new patients
Southcentral Foundation CurrentSince Feb 5, 2026 Accepting new patients
Texas Children'S Physician Group Past Accepting new patients

Locations

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

400 W Benson Blvd
Anchorage, AK 99503
Phone (907) 729-4200

File 50978
Los Angeles, CA 90074

3001 Saint Rose Pkwy
Henderson, NV 89052
Phone (702) 615-5000

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299024000000",
    "number": "1134278476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 MCCLENDON ST",
            "address_2": "UPPER",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302118",
            "telephone_number": "214-926-6492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6621 FANNIN ST STE A.210",
            "address_2": "TEXAS CHILDREN'S HOSPITAL BCM C/O PEGGY WOMACK",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302303",
            "telephone_number": "832-824-5628",
            "fax_number": "832-825-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAOS",
        "first_name": "CARLA",
        "middle_name": "MAGNOLIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2011-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "TX",
            "license": "N1367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.